Susanne Judith Carroll in Boise - Clinical
Susanne Judith Carroll - NPI 1518137546
Susanne Judith Carroll is a Clinical in Boise, Idaho. Susanne Judith Carroll practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susanne Judith Carroll is 1518137546. The last update date is 2022-11-08.
Susanne Judith Carroll's current location address is 777 N Raymond St, Boise, Idaho. You can contact this provider via phone number 2085142500 and fax number 2083752217. The mailing address for Susanne Judith Carroll is 777 N Raymond St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanne Judith Carroll |
|---|---|
| Address | 777 N Raymond St, Boise, Idaho |
| Phone Number | 2085142500 |
| Fax Number | 2083752217 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518137546 |
|---|---|
| Provider Enumeration Date | 2008-03-05 |
| Last Updated Date | 2022-11-08 |
Provider Mailing Address Detail
| Address | 777 N Raymond St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837049251 |
| Phone Number | 2085142500 |
| Fax Number | 2083752217 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-27912 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the Susanne Judith Carroll's unique identification number?
The Susanne Judith Carroll has been assigned the NPI (National Provider Identifier) Number 1518137546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Susanne Judith Carroll is physically located?
The Susanne Judith Carroll is physically situated at the following address: 777 N Raymond St, Boise, ID, 837049251.
What is the Susanne Judith Carroll's specialty and taxonomy code?
The Susanne Judith Carroll's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518137546 to Susanne Judith Carroll?
The Susanne Judith Carroll received its 1518137546 assignment from the Centers for Medicare & Medicaid Services on 2008-03-05.
As of what date were the details related to Susanne Judith Carroll most recently updated or revised?
The information pertaining to Susanne Judith Carroll, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-08.